Medical tourism (MT) can be conceptualized as the intentional pursuit of non-emergency surgical interventions by patients outside their nation of residence. Despite increasing popular interest in MT, the ethical issues associated with the practice have thus far been under-examined. MT has been associated with a range of both positive and negative effects for medical tourists' home and host countries, and for the medical tourists themselves. Absent from previous explorations of MT is a clear argument of how responsibility for the harms (...) of this practice should be assigned. This paper addresses this gap by describing both backward looking liability and forward looking political responsibility for stakeholders in MT. We use a political responsibility model to develop a decision-making process for individual medical tourists and conclude that more information on the effects of MT must be developed to help patients engage in ethical MT. (shrink)

Medical tourism is the practice of traveling across international borders with the intention of accessing medical care, paid for out-of-pocket. This practice has implications for preferential access to medical care for Canadians both through inbound and outbound medical tourism. In this paper, we identify four patterns of medical tourism with implications for preferential access to care by Canadians: Inbound medical tourism to Canada’s public hospitals; Inbound medical tourism to a First Nations reserve; Canadian patients opting to go abroad for medical (...) tourism; and Canadian patients traveling abroad with a Canadian surgeon. These patterns of medical tourism affect preferential access to health care by Canadians by circumventing domestic regulation of care, creating jurisdictional tensions over the provision of health care, and undermining solidarity with the Canadian health system. (shrink)

Medical tourists, persons that travel across international borders with the intention to access non-emergency medical care, may not be adequately informed of safety and ethical concerns related to the practice of medical tourism. Researchers indicate that the sources of information frequently used by medical tourists during their decision-making process may be biased and/or lack comprehensive information regarding individual safety and treatment outcomes, as well as potential impacts of the medical tourism industry on third parties. This paper explores the feedback from (...) former Canadian medical tourists regarding the use of an information sheet to address this knowledge gap and raise awareness of the safety and ethical concerns related to medical tourism. (shrink)

BackgroundMedical tourism, the practice of persons intentionally travelling across international boundaries to access medical care, has drawn increasing attention from researchers, particularly in relation to potential ethical concerns of this practice. Researchers have expressed concern for potential negative impacts to individual safety, public health within both countries of origin for medical tourists and destination countries, and global health equity. However, these ethical concerns are not discussed within the sources of information commonly provided to medical tourists, and as such, medical tourists (...) may not be aware of these concerns when engaging in medical tourism. This paper describes the methodology utilized to develop an information sheet intended to be disseminated to Canadian medical tourists to encourage contemplation and further public discussion of the ethical concerns in medical tourism.MethodsThe methodology for developing the information sheet drew on an iterative process to consider stakeholder feedback on the content and use of the information sheet as it might inform prospective medical tourists’ decision making. This methodology includes a literature review as well as formative research with Canadian public health professionals and former medical tourists.ResultsThe final information sheet underwent numerous revisions throughout the formative research process according to feedback from medical tourism stakeholders. These revisions focused primarily on making the information sheet concise with points that encourage individuals considering travelling for medical tourism to do further research regarding their safety both within the destination country, while travelling, and once returning to Canada, and the potential impacts of their trip on third parties. This methodology may be replicated for the development of information sheets intending to communicate ethical concerns of other practices to providers or consumers of a certain service. (shrink)

Medical tourism, the practice of persons intentionally travelling across international boundaries to access medical care, has drawn increasing attention from researchers, particularly in relation to potential ethical concerns of this practice. Researchers have expressed concern for potential negative impacts to individual safety, public health within both countries of origin for medical tourists and destination countries, and global health equity. However, these ethical concerns are not discussed within the sources of information commonly provided to medical tourists, and as such, medical tourists (...) may not be aware of these concerns when engaging in medical tourism. This paper describes the methodology utilized to develop an information sheet intended to be disseminated to Canadian medical tourists to encourage contemplation and further public discussion of the ethical concerns in medical tourism. The methodology for developing the information sheet drew on an iterative process to consider stakeholder feedback on the content and use of the information sheet as it might inform prospective medical tourists’ decision making. This methodology includes a literature review as well as formative research with Canadian public health professionals and former medical tourists. The final information sheet underwent numerous revisions throughout the formative research process according to feedback from medical tourism stakeholders. These revisions focused primarily on making the information sheet concise with points that encourage individuals considering travelling for medical tourism to do further research regarding their safety both within the destination country, while travelling, and once returning to Canada, and the potential impacts of their trip on third parties. This methodology may be replicated for the development of information sheets intending to communicate ethical concerns of other practices to providers or consumers of a certain service. (shrink)

Medical tourism—the practice where patients travel internationally to privately access medical care—may limit patients’ regular physicians’ abilities to contribute to the informed decision-making process. We address this issue by examining ways in which Canadian family doctors’ typical involvement in patients’ informed decision-making is challenged when their patients engage in medical tourism.

Background: Medical tourism, thought of as patients seeking non-emergency medical care outside of their home countries, is a growing industry worldwide. Canadians are amongst those engaging in medical tourism, and many are helped in the process of accessing care abroad by medical tourism brokers - agents who specialize in making international medical care arrangements for patients. As a key source of information for these patients, brokers are likely to play an important role in communicating the risks and benefits of undergoing (...) surgery or other procedures abroad to their clientele. This raises important ethical concerns regarding processes such as informed consent and the liability of brokers in the event that complications arise from procedures. The purpose of this article is to examine the language, information, and online marketing of Canadian medical tourism brokers' websites in light of such ethical concerns. Methods: An exhaustive online search using multiple search engines and keywords was performed to compile a comprehensive directory of English-language Canadian medical tourism brokerage websites. These websites were examined using thematic content analysis, which included identifying informational themes, generating frequency counts of these themes, and comparing trends in these counts to the established literature. Results: Seventeen websites were identified for inclusion in this study. It was found that Canadian medical tourism broker websites varied widely in scope, content, professionalism and depth of information. Three themes emerged from the thematic content analysis: training and accreditation, risk communication, and business dimensions. Third party accreditation bodies of debatable regulatory value were regularly mentioned on the reviewed websites, and discussion of surgical risk was absent on 47% of the websites reviewed, with limited discussion of risk on the remaining ones. Terminology describing brokers' roles was somewhat inconsistent across the websites. Finally, brokers' roles in follow up care, their prices, and the speed of surgery were the most commonly included business dimensions on the reviewed websites. Conclusion: Canadian medical tourism brokers currently lack a common standard of care and accreditation, and are widely lacking in providing adequate risk communication for potential medical tourists. This has implications for the informed consent and consequent safety of Canadian medical tourists. (shrink)

Joint attention occurs when two (or more) individuals attend together to some object. It has been identified by psychologists as an early form of our joint engagement, and is thought to provide us with an understanding of other minds that is basic in that sophisticated conceptual resources are not involved. Accordingly, it has also attracted the interest of philosophers. Moreover, a very recent trend in the psychological and philosophical literature on joint attention consists of developing the suggestion that it holds (...) partially in virtue of communication: it is because we share our thoughts or feelings about an object that our individual attention becomes joint. This paper unpacks the communicative suggestion in a way that accounts for joint attention's basicness. (shrink)

Alexander Raven Thomson was a British fascist philosopher, active from 1932 to 1955. I outline Thomson’s Spenglerian views on civilization and decline. I argue that Thomson in his first book is an orthodox Spenglerian who accepts that decline is inevitable and thinks that it is morally required to destroy civilization in its final stages. I argue that this suffers from conceptual issues which may have caused Thomson’s change to a revised form of Spenglerianism, which is more authentically fascist. This authentically (...) fascist view is then seen to fall prey into the problem inherent in the very idea of permanent rebirth. (shrink)

This interdisciplinary book that is thematically tied to Charles Darwin’s extensively detailed observations of all forms of animate life across the global world—humans included—shows how neuroscience and phenomenology are complementary and how the driving force of wonder—what Darwin called “an intellectual emotion”—propels them both.

Examination of the many factors that have shaped ecological thought over the ages and in challenging the basic assumptions of the Western worldview, exposes the fundamental flaws in a system that believes in unlimited economic growth within a finite world and has confused financial worth with the real wealth of the natural systems upon which we are all dependent. [book jacket].

Recent research into the evolution of higher cognition has piqued an interest in the effect of natural selection on the ability of creatures to respond to their environment (behavioral plasticity). It is believed that environmental variation is required for plasticity to evolve in cases where the ability to be plastic is costly. We investigate one form of environmental variation: frequency dependent selection. Using tools in game theory, we investigate a few models of plasticity and outline the cases where selection would (...) be expected to maintain it. Ultimately we conclude that frequency dependent selection is likely insufficient to maintain plasticity given reasonable assumptions about its costs. This result is very similar to one aspect of the well-discussed Baldwin effect, where plasticity is first selected for and then later selected against. We show how in these models one would expect plasticity to grow in the population and then be later reduced. Ultimately we conclude that if one is to account for the evolution of behavioral plasticity in this way, one must appeal to a very particular sort of external environmental variation. (shrink)

Companies are increasingly singing up to a range of corporate responsibility codes and other voluntary commitments. Using evidence from the mining industry’s experience with the Australian Greenhouse Challenge, the Minerals Council’s Code for Environmental Management and the ISO14001 Specification for Environmental Management Systems, this article examines whether the outcomes from the adoption of multiple voluntary approaches differ from those outcomes that would be expected if each voluntary approach was adopted in isolation. The article demonstrates that it is feasible for companies (...) to participate in multiple voluntary approaches and to derive benefits such as reduced transaction costs, improved data quality and enhanced implementation. However, there is limited evidence that the voluntary approaches in combination have enhanced environmental performance, economic efficiency, innovation or competitiveness beyond that which would be achieved from each of the approaches in isolation. Furthermore, many of the limitations of voluntary approaches (in particular, environmental performance, acceptability to NGOs) remain. (shrink)

This chapter presents Connecting Scotland as a case study, highlighting the correlation between current research into digital inequality to identify those most in need of support, and the practical application of work to address this at scale through third sector organisations working directly with those at greatest risk of digital exclusion. The chapter also considers the vital role of the ‘trusted intermediary’ acting as digital champion for device recipients, and, using the data gathered via sessions with hundreds of frontline staff, (...) explore immediate challenges and opportunities for engagement. It will also reflect on the application of research in the creation of training and resources to support the programme. Finally, the chapter will reflect on some of the many lessons learned, and consider implications for both policy-makers and fieldworkers seeking to address digital inequality at scale. All three authors were involved extensively in the development and delivery of this work. (shrink)

Shadmehr and Ahmed cogently argue that vigor of appetitive movements is positively correlated with their value, and that value can therefore be inferred by measuring vigor. Here, we highlight three points to consider when interpreting this account: (1) The correlation between vigor and value is not obligatory, (2) the vigor effect also arises in frameworks other than optimal foraging, and (3) the term vigor can be misinterpreted, thereby affecting rigor.

Rising Tidesis an extensively researched and engagingly written examination of the many factors that have shaped ecological thought.

Machine generated contents note: 1 Introduction 1 -- 2 Central themes and critical issues 10 -- Introduction 10 -- Core themes 11 -- Differences which have surfaced in the move from -- margins to mainstream 15 -- The claims of restorative justice: a brief examination 21 -- Some limitations of restorative justice 25 -- Some dangers of restorative justice 29 -- Debunking restorative justice 32 -- 3 Reviving restorative justice traditions 36 -- The rebirth of an ancient practice 36 -- (...) Pre-modem criminal justice 37 -- The renaissance of native justice traditions 43 -- Navajo peacemaking 44 -- Can one characterise ancient and indigenous -- justice as restorative? 47 -- Can one revive restorative justice traditions? 49 -- Conclusion: did restorative justice ever die? 59 -- 4 Healing the victim 62 -- Introduction 62 -- The experiences and needs of victims 64 -- The inadequacy of punitive justice for the victim 67 -- Victim reforms 70 -- Restitution from the offender 74 -- Beyond restitution: restoring victims 76 -- Restorative justice or 'clubbing together'? 78 -- Using victims to rehabilitate offenders 81 -- Paternalism towards victims 83 -- Balancing the needs of the victim with those of society 84 -- 5 A restorative approach to offenders 87 -- Introduction 87 -- Restorative justice as an alternative to retributive justice 88 -- Restorative justice as an alternative to treatment 94 -- The goals and methods of restorative justice in relation -- to offenders 95 -- An alternative to punishment or an alternative form of -- punishment? 106 -- An alternative to treatment? 111 -- 6 Shame, apology and forgiveness 114 -- Introduction 114 -- Restorative cautioning 115 -- The psychological routes of restorative conferencing 116 -- The idea of reintegrative shaming 118 -- Some questions about shaming 123 -- Apology and forgiveness 132 -- 7 Mediation, participation and the role of community 136 -- Introduction: handling criminal conflicts 136 -- The rationale for the restorative justice process 140 -- Achieving restorative goals 141 -- Moral development and the strengthening of community 144 -- The role of community 151 -- 8 The future of restorative justice 161 -- Introduction 161 -- Implementing restorative justice: the paths less likely 163 -- The implementation of restorative techniques 166 -- Restorative justice and the pattern of penal control 169 -- The future of restorative justice research 170 -- Appendix to chapter 3: the theological roots of judicial -- punishment 172. (shrink)

Both advocates and opponents of the animalist view that we are fundamentally biological organisms have typically assumed that animalism is incompatible with intuitive verdicts about cerebrum isolation and transplantation. It is argued here that this assumption is a mistake. Animalism, developed in a natural way, in fact strongly supports these intuitive verdicts. The availability of this attractive resolution of a central puzzle in the personal identity debate has been obscured by a range of factors, including the prevalence in contemporary metaphysics (...) of a certain conception of the nature of organisms. I end by explaining how the animalist can use intuitive verdicts, usually thought to present a difficulty for the view, as positive evidence for claims about the persistence conditions of the relevant kind of organism. (shrink)

An extensive body of research details the lack of discussion and collaboration occurring in K12 classrooms in the United States. This study seeks to examine this issue by exploring the associations preservice social studies teachers make between the underlying principles of democratic education and the use of discussion in the social studies classroom. The present qualitative multi-case study uses a collection of field-based data and university coursework to examine how six preservice social studies teachers at a large southeastern university conceptualize (...) and value discussion as a pedagogical approach. Findings suggest that preservice social studies teachers do see value in the use of discussion and associate it with broad themes of democratic education. However, because their understandings of democratic education are often vague and unclear, the associations being made often do not reflect the work being conducted within academia in regards to social justice. (shrink)

This paper explains how an assertion may be understood despite there being nothing said or meant by the assertion. That such understanding is possible is revealed by cases of the so-called ``felicitous underspecification'' of demonstratives: cases where there is understanding of an assertion containing a demonstrative despite the interlocutors not settling on one or another object as the one the speaker is talking about (King 2014a, 2017, 2021). I begin by showing how Stalnaker's ([1978] 1999) well-known pragmatic principles adequately permit (...) and constrain the felicitous underspecification of demonstratives. I then establish a connection between the satisfaction of Stalnaker's principles and understanding, and show how that connection sheds further light on the relevant cases. After developing and motivating my proposal, I address some objections to it, then briefly discuss the felicitous underspecification of expressions other than demonstratives alongside contrasting my proposal with a similar one from Bowker (2015, 2019) that concerns definite descriptions. (shrink)

The production of scientific instruments in America was neither a postwar phenomenon nor dramatically different from that of several other developed countries. It did, however, undergo a step-change in direction, size and style during and after the war. The American scientific instrument industry after 1945 was intimately dependent on, and shaped by, prior American and European experience. This was true of the specific genres of instrument produced commercially; to links between industry and science; and, just as importantly, to manufacturing practices (...) and cultures. I will argue that, despite the new types of instrument commercialized after the war, this historical continuity of links with science and scientists guided and constrained the design and manufacture of these products. Nevertheless, new designers, manufacturers and customers gradually transformed the culture of scientific instruments in the second half of the century. -/- This chapter deals with a subset of the American instrument industry, namely the measuring and monitoring instruments manufactured for scientific use. Even with the specification of ‘scientific’ instruments, however, these borders are rather artificial and unclear: instrument making from the seventeenth through the twentieth century has generally involved the fabrication of both standard products and custom-made devices for scientific use.2 In this context of sales quantities, ‘scientific’ instruments have often been defined as low-volume, special-order or custom devices. In a similar vein, ‘scientific’ instruments were commonly distinguished from ‘production’ instruments by context of usage, namely their very absence from – and indeed irrelevance to – production environments. This demarcation according to customer and environment was mirrored in at least one furth er respect: the training of their users. The classification into ‘scientific’ and ‘engineering’ applications was as fluid as the relationship between American universities and technical industries themselves.Despite these complementary definitions, the notion of the ‘scientific instrument’ was beginning to prove inadequate even at the turn of the twentieth century, and dramatically so when discussing the post-Second World War period. Definitions altered qualitatively after the Second World War in at least three further ways: (a) new genres of device altered the scope of the scientific instrument; (b) the contribution of State and military sponsorship of new forms of instrument became significant; and, (c) the postwar demand for specialist instruments increased rapidly, owing to wartime innovation, new applications and new customers. I will explore the evolution of instrument manufacturing in this changing context of new technology, funding, development and markets. (shrink)

In this paper, I explore the relationship between naturalism and transcendental idealism in Fichte. I conclude that Fichte is a near-naturalist, akin to Baker, Lynne Rudder (2017). “Naturalism and the idea of nature,” Philosophy 92 (3): 333–349. A near-naturalist is one whose position looks akin to the naturalist in some ways but the near-naturalist can radically differ in metaphilosophical orientation and substantial commitment. This paper is composed of three sections. In the first, I outline briefly what I take transcendental idealism (...) to be, as well as some differences in types of naturalism, and how this maps on to Fichte. In the second, I give an exegesis of Fichte’s key arguments in the Later Jena period, which are important for the question of his relationship to naturalism. In the third, I continue the exegesis with a discussion of Fichte’s conception of God, and conclude that these arguments support a near-naturalist reading of Fichte. (shrink)

In De Anima II.6, Aristotle divides the objects of perception into three kinds: “special perceptibles" (idia aisthêta) such as colours, sounds and flavours, which can be perceived in their own right by only one sense; “common perceptibles" (koina aisthêta) such as shapes, sizes and movements, which can be perceived in their own right by multiple senses; and “incidental perceptibles,” such as the son of Diares, which can be perceived only “incidentally” (kata sumbebêkos). In this paper, I examine this division of (...) perceptibles and consider what it amounts to. First, I argue that Aristotle’s distinction between perceiving something in its own right (kath' hauto) and perceiving it incidentally marks a causal distinction: what is perceived in its own right causes perception as such, whereas what is perceived incidentally coincides with what is perceived in its own right. Second, I argue that for Aristotle special perceptibles, unlike common perceptibles, belong to homogeneous bodies on account of their chemical composition. Finally, I explain the primacy Aristotle assigns to special perceptibles and his claim that perception of them alone is free from error. I conclude with some brief remarks on Aristotle and the primary/secondary quality distinction. (shrink)

Just how ordinary was everyday life during normalization in Czechoslovakia? In their discussions of the lives of “ordinary people,” historians have underplayed the fear and secrecy present in the daily experiences of Czechs and Slovaks in the late communist period. In linking writings by dissidents to Czech and Slovak oral histories in the collections of the National Czech & Slovak Museum & Library, I seek to problematize the dissident/ordinary person dichotomy used in recent historiography, and argue that the chasm between (...) these two apparently opposite groups has been exaggerated. Through an analysis of the themes of family, education and mobility, I will show that domestic life was not an escape from politics, but was in itself politicized. From audiovisual interviews, I will glean normalization-era memories of the need for what Václav Havel called “silence” and “mystification”-in the classroom, in the pub and in the home. (shrink)

This multi-case study explores the impact of cooperating teachers (CTs) on the autonomous pedagogical practices of preservice social studies teachers at a large southeastern university. The study examines participants’ written reflections, social studies teaching philosophies, lesson plans, and interview transcripts to identify how field placements and, more specifically, cooperating teachers directly influence the autonomous decision-making practices of student teachers (STs). The author will discuss the socialization of the participants and the role of the CTs in both preventing and promoting the (...) autonomous practices of the STs as they attempted to fulfill their identified aims of education. The case will be made for a revision of field experiences to promote teacher autonomy through better reflection on the part of STs. (shrink)

“I am only what I make myself to be”, Fichte tells us. In this paper, I outline Fichte’s views on sex, marriage and gender, with two aims. Firstly, to elucidate an aspect of his moral theory which has received little attention, and secondly to argue that Fichte’s distinctive stance on selfhood, freedom, and normativity lead to a revisionary account of gender expression and identity, where people can freely carve out their own identity, irrespective of “nature”. In this paper, I therefore (...) outline Fichte’s own views, highlighting what I see as a tension in the texts between essentialism and antiessentialism about gender, before reconstructing a neo-Fichtean view which foregrounds the anti-essentialist aspect. (shrink)

The idea of the inner is central to our conception of a person and is at the heart of all interaction. But how should we understand this concept, and what do we mean when we wonder what is going on inside our heads? This accessible and non-technical guide to Wittgenstein provides insight into his work in this area and on the problem of the inner. Using Wittgenstein's recently published writings on the philosophy of psychology, together with unpublished material, Paul (...) class='Hi'>Johnston presents a thorough account of a subject that was central to Wittgenstein's later work. He shows that Wittgenstein's arguments involve a radical re-thinking of our understanding of the inner and present a challenge to contemporary views which has yet to be fully appreciated or understood. Wittgenstein demonstrates how a Wittgensteinian approach can dissolve age-old problems about the nature of consciousness and the relationship between the mind, the body, and the soul. The resulting picture of the inner, with its stress on the crucial role of language, sheds light on the direction of Wittgenstein's work and presents a stimulating and controversial alternative to more fashionable positions on the subject. (shrink)

abstract: I provide a novel interpretation of Aristotle's account of the unity of soul, treating it as resolving the apparent incompatibility of the existence of psychic parts and the soul's status as a unifying form. This incompatibility, I contend, rests on a problematic assumption: mereological actualism, or the claim that parts are actually distinct and prior to the whole. Aristotle successfully undermines actualism and formulates an alternative conception of parthood within De Anima 's figure-soul analogy. As triangles are only potentially (...) present within quadrilaterals, so lower psychic parts are potential parts of higher souls. This picture treats a soul not as a mere aggregate of capacities, but as essentially unified and prior to its parts. Finally, I argue that this picture can be illuminated and must be read against the background of his hylomorphic account of the unity of form given in Metaphysics H.6. (shrink)

The implications of commonalities in the contributions of five key thinkers in twentieth century phenomenology are discussed in relation to both original aims and contemporary projects. It is argued that, contrary to the claims of Husserl, phenomenology can only operate as hermeneutic phenomenology. Hermeneutics arose within German idealism. It began with Friedrich Ast and Heinrich Schleiermacher and was further developed by, among others, Wilhelm Dilthey and Martin Heidegger. Hermeneutics claims that current understanding is created on the basis of the prior (...) understanding taken to any new situation, in that what is initially understood or believed determines the direction and scope for inquiry or action. Subsequent action and conclustions are similarly based on what has been previously understood and believed. As a consequence, however, what may, in some cases, result is the confirmation of prior inaccurate understanding. For these reasons, it is important to be clear about how initial understandings are formed and how they inform a discipline, be it the Husserlian phenomenology of intentionality or any empirical phenomenological approach. Indo-Pacific Journal of Phenomenology , Volume 8, Edition 1 May 2008. (shrink)

The Law of Set-off has established itself as a leading authority on its subject. This is a developing area of law and the fourth edition brings the book fully up to date with the latest case law since the third edition was published in 2003. Including coverage of Commonwealth decisions, this is the most thorough work on Set-Off for legal practitioners. New coverage includes analysis of Secretary of State for Trade and Industry v Frid in relation to insolvency set-off, Re (...) SSSL Realisations Ltd in relation to the rule in Cherry v Boultbee, Muscat v Smith in relation to equitable set-off, and in Australia, International Air Transport Association v Ansett Australia Holdings Ltd in relation to the "British Eagle" principle. The book provides an authoritative commentary on the principles governing the law of set-off and is an essential purchase for banking, finance, and insolvency lawyers world-wide. (shrink)

A formal and idealised understanding of intentionality as a mental process is a central topic within the classical Husserlian phenomenological analysis of consciousness. This paper does not define Husserl’s stance, because that has been achieved elsewhere (Kern, 1977, 1986, 1988; Kern & Marbach, 2001; Marbach, 1988, 1993, 2005; Owen, 2006; Zahavi, 2003). This paper shows how intentionality informs therapy theory and practice. Husserl’s ideas are taken to the psychotherapy relationship in order to explain what it means for consciousness to have (...) intentionality in various ways. The role of intentionality in psychopathology and its treatment within cognitive behavioural therapy is explained as a way of showing how understanding intentionality creates a medum for the delivery of care. Indo-Pacific Journal of Phenomenology , Volume 7, Edition 1 May 2007. (shrink)

What does our naïve conception of a conscious subject demand of the nature of conscious beings? In a series of recent papers David Barnett has argued that a range of powerful intuitions in the philosophy of mind are best explained by the hypothesis that our naïve conception imposes a requirement of mereological simplicity on the nature of conscious beings. It is argued here that there is a much more plausible explanation of the intuitions in question. Our naïve conception of a (...) conscious subject imposes a requirement of topological integrity. (shrink)

The animalist view of personal identity, according to which we human persons are identical to animals, is arguably the simplest view of the relationship between human persons and animals. But animalism faces a serious challenge from the possibility of brain transplants. This chapter develops, on behalf of animalism, a new way of modeling such cases. The model is developed by analogy with situations of environmentally determined reference shift familiar from the literature on externalism in the philosophy of mind and language. (...) The resulting externalist animalist model is put to work in describing a range of variant cases and in accounting for certain anti-animalist intuitions. In the final section some wider consequences are elucidated, concerning the extrinsic nature of thought, and the coherence, within a broadly materialist framework, of disembodied consciousness. (shrink)

Medicine today, as both art and science, embodies a split personality. The ensuing tension—between individualized consideration, experience, and judgment on the one hand, and standardization, objective evidence, and guidelines on the other—plays out in the simultaneous aspirations of the medical humanities and evidence-based medicine, and in a host of other telling terms and movements. This is not a new tension, however. We turn in this paper to the critical but complex history of the term “personal equation” as both reflective and (...) generative of this tension on both sides of the Atlantic during a formative period in medicine from the mid-19th through the mid-20th centuries. The term was featured in almost every... (shrink)